Kettering Practice Exam 1 Questions and Answers | Latest Update | 2024/2025 | Already Passed

Kettering Practice Exam 1 Questions and Answers | Latest Update | 2024/2025 | Already Passed 1. **Identify the condition indicated by diaphoresis, jugular venous distension, and 3+ pitting edema in the ankles in a 48-year-old female admitted to the ED.** Options: - Symptoms of liver failure - Signs of pulmonary embolism - Indicators of heart failure - Manifestations of electrolyte imbalance Answer: Indicators of heart failure 2. **Upon examination of a patient following a motor vehicle accident, the respiratory therapist notes absent breath sounds in the left chest, hyperresonant percussion note, and tracheal deviation to the right. With a heart rate of 45/min, respiratory rate of 30/min, and blood pressure of 60/40 mm Hg, what initial action should be recommended?** Options: - Call for a STAT chest x-ray - Perform needle aspiration of the 2nd left intercostal space - Insert a chest tube into the left chest - Activate the medical emergency team for intubation Answer: Perform needle aspiration of the 2nd left intercostal space 3. **Which of the following strategies is NOT likely to reduce damage to the tracheal mucosa?** Options: - Maintaining cuff pressures between 20 and 25 mm Hg - Using the minimal leak technique for cuff inflation - Employing a low-residual-volume, low-compliance cuff - Monitoring intracuff pressures closely Answer: Employing a low-residual-volume, low-compliance cuff 4. **A 52-year-old patient post-operative cholecystectomy experiences coarser breath sounds after postural drainage with percussion. What is the recommended action for the respiratory therapist?** Options: - Continue therapy until breath sounds improve - Administer dornase alpha - Provide albuterol therapy - Instruct deep breathing and coughing to clear secretions Answer: Instruct deep breathing and coughing to clear secretions 5. **For a 65 kg spinal cord injured patient with atelectasis (30% of predicted inspiratory capacity), what is the most appropriate initial bronchial hygiene therapy?** Options: - Incentive spirometry - Intermittent positive pressure breathing (IPPB)